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MSK > Stephas > Flashcards

Stephas Flashcards

1
Q

Hip rx questions to ask

A

Have you fallen in the past year
Do you feel unsteady when walking and or standing
Do you worry about falling
Ask these questions for 65 year old and up

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2
Q

Scaphoid fx at risk for what

A

AVn
Complications due to retrograde blood flow
Other bones associated with this is femoral neck, scaphoid, lunate

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3
Q

Game keeper thumb

A

Fx at ulnar collateral ligament MPJ of thumb

Pt will have pain and swelling with laxity at UCL ligament

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4
Q

Mallet finger

A

D/t pain when smashing finger

Splint for 6-8 walks be careful when removing splint

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5
Q

Green stick fx

A

3rd most common fx for kids
FOOSH mOA
Check joint above and below
Think abuse in less than 1 year old

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6
Q

AC joint seperation

A

Occurs from forceful fall on shoulder
Will have a bump on joint
Tx: ice, rest, nsaids

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7
Q

AC joint seperation grading

A

1-3 non operable, 4-6 operable

Starts from simple dislocation to worse and worse

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8
Q

Tibia shaft fx

A

Occurs from high impact injury like parachuting so think of joints above and below
Complications can occur such as compartment sx, and avn, 3 compartments in thigh and 4 in lower leg pain swelling and paresthesias will occur

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9
Q

Weber classification

A

A- below syndesonosis - nwb 4 - 6 wk boot
b- level of syndesonosis
c- above levle syndesnosis surgery requiered

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10
Q

Lisfranc injury

A

Injury of mid foot fracture

Get weight bearing xr and ct if sus still

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11
Q

Trochanter bursitis

A

Pain at brusa in hip hot joint “snapping hip syndrome”

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12
Q

Piriformis injury syndrome

A

Tightening shortening hypertrophy of muscle can cause low back pain

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13
Q

Hip dislocation

A

Rare occurrence and considered medical emergency

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14
Q

Tri joint complex name

A

Zygapophyseal facet joint

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15
Q

Cauda equine syndrome

A

Sx: saddle anesthesia, lose of control of urine or bowel syndrome, foot drop, neurological symptoms, unexpected rectal laxity
Order: MRI, call neurosurgery
Caused: my massive midline disc herniation and compression of the cord
Sx: BL weakness adn numbness

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16
Q

Lower back pain is described as

A

Somatic dysfunction of lumbar spine
Moa: lifting, falling which indices muscle spasm
Three categories: mechanical, inflammatory, infectious

17
Q

RED FLAGS FOR BACK PAIN

A 
UNDER 20 OVER 50
Fevers, chills, UTI
Significant trauma, 
Unrelenting pain at night and at rest
Weight loss
Loss of bowel, urine control
Motor weakness
Hx ca, hx osteoporosis 
Pain worse when supine
18
Q

Sciatica risk factors

A 
Age
Obese
Occupation
Prolonged sitting
DM
19
Q

Ankylosis spondylitis

A

A form os inflammatory arthritis
Primary cause inflammation joint between vertebra spine and joint
Occurs in early adult males
Schober test
Can impact, eyes, liver colon, skin and heart

20
Q

Spondylolysis

A

Scottie dog in XR
BL or Uni
Stable defect in PARS of vertabre

21
Q

Spondylisthesis

A

Fed displacement,ent of vertebrae
Xr: decapitaed dog
To: rest ice, flexion is best for these ppl

22
Q

Medication used in back pain

A

Tylenol
Nsaids
Trauma doll
TCA

23
Q

Polymialgia rheumatia

A

Men above 65
With sever pain bL
Tx: prednisone

24
Q

L4-L5 herniation

A

@l5 cause hip and lateral thigh pain hard to Doris flex and flex great tie

25
Q

L5-s1

A

Causes back pain to the butt and posterior thigh and little toe hard to walk on ropes and plantar flex foot.

26
Q

When do you order mri of back?

A

When pain is been going on for 6-12 week

27
Q

When is surgery applicable for back pain?

A

When there is an anatomical lesion consistent with pain distribution

28
Q

Spinal stenosis

A

Narrowing of spinal canal

To: conservative

29
Q

What do you order if you think ca?

A

CRP, esr, CBC, psa

30
Q

What imaging do you order if you think back fx?

A

Xr, ct, mri

31
Q

What do you order if you suspect infection?

A

CRP, esr, CBC, UA

32
Q

Clavicle fx characteristics

A

FOOSH mid shaft non displace ok no surg

Sever displacement non union open fx u know surgery

33
Q

Jones fx

A

This is rx to the 5th metatarsal @metaphysis and diaphysis place pt on nwb for 6-8 wks
Call ortho zone 2 requires surgery

34
Q

Boxers fx

A

Fracture to 4th and 5th Mc neck place in velar splint 3-4 wks more than 30 degrees angle call ortho

35
Q

Collies fx

A

Call ortho

36
Q

Carpal tunnel sx

A 
Compression of medial nerve 
Pt with nocturnal pain and bunmbess to the thumb 4th finger and hand of ring finger 
\+ tinnels and phablets 
Happens more with PREGO and DM 
Tx: splint, injections, NSAIDS
37
Q

Ganglyon cyst

A

Benign synovial cyst splint 2-3 weeks reassure aspirate

MSK (4 decks)

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